Ihab Elsewisy, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302036744 Issued in MI

Practice address

1733 Spring Arbor Rd
Rite Aid #4539
Jackson, MI 49203-2701

Phone

(517) 789-6630

Fax

(517) 789-8439

NPI assigned

Jul 28, 2011

Last updated

Jul 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perry Drug Stores Inc and Subsidiaries

  dba Rite Aid Pharmacy 04487

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1316225162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 PHEASANT RUN DR",
            "address_2": "#J",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021347",
            "telephone_number": "201-850-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 SPRING ARBOR RD",
            "address_2": "RITE AID #4539",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032701",
            "telephone_number": "517-789-6630",
            "fax_number": "517-789-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEWISY",
        "first_name": "IHAB",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Archie Ellis, NP
• Kylie Ellsworth
• Ayman Elmadawy, DDS
• Elmortada Medical Services PC
• Sami Elsayed
• Sulafa Hassan Elshowaya, RDN
• Danielle Ms. Elswick, CNS
• Adelia Grace Ely
• Sherry Marie Ely
• Jessica Marie Embury

• Pharmacist in Jackson, MI
• Providers in Jackson, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.